CHAD EDWIN JACKSON

FORT MYERS, FL
NPI1518484245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083S0010X Preventive Medicine, Sports Medicine
(Licence: FL  Al2986)
Enumeration Date2017-08-24
Last Update Date2017-08-24
Business Address
CHAD EDWIN JACKSON MS, ATC
14110 SIX MILE CYPRESS PKWY
FORT MYERS, FL 33912-4314
Phone number: 239-479-6411
Mailing Address
CHAD EDWIN JACKSON MS, ATC
618 SE 3RD ST
CAPE CORAL, FL 33990-1109
Phone number: 239-292-7669
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